| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
13,005 |
10,244 |
$1.10M |
| 80053 |
|
16,544 |
13,146 |
$1.07M |
| 99284 |
|
9,487 |
7,077 |
$927K |
| 74177 |
|
1,119 |
975 |
$652K |
| 87637 |
|
4,195 |
3,597 |
$619K |
| 99285 |
|
3,898 |
2,754 |
$490K |
| 74176 |
|
1,278 |
1,150 |
$490K |
| 85025 |
|
19,537 |
15,081 |
$323K |
| 70450 |
|
1,998 |
1,777 |
$297K |
| 99282 |
|
4,474 |
3,842 |
$253K |
| 93005 |
|
6,171 |
4,796 |
$231K |
| 84484 |
|
4,749 |
3,325 |
$213K |
| 96361 |
|
1,507 |
1,155 |
$178K |
| 96365 |
|
2,128 |
1,585 |
$163K |
| 81001 |
|
7,294 |
6,199 |
$161K |
| 96375 |
|
4,494 |
3,240 |
$155K |
| 84443 |
|
4,730 |
4,377 |
$151K |
| 80061 |
|
4,692 |
4,423 |
$150K |
| 71046 |
|
3,272 |
2,774 |
$146K |
| 80048 |
|
3,200 |
2,626 |
$139K |
| 36415 |
|
14,020 |
11,669 |
$134K |
| 71045 |
|
3,754 |
3,076 |
$125K |
| 96374 |
|
4,928 |
3,841 |
$116K |
| 83605 |
|
3,572 |
2,684 |
$115K |
| 87086 |
|
4,533 |
3,919 |
$105K |
| 82306 |
|
2,077 |
1,963 |
$81K |
| 93306 |
|
302 |
253 |
$79K |
| 83036 |
|
3,358 |
3,129 |
$69K |
| U0004 |
Cov-19 test non-cdc hgh thru |
492 |
426 |
$66K |
| 83735 |
|
3,448 |
2,714 |
$65K |
| U0002 |
Covid-19 lab test non-cdc |
928 |
853 |
$65K |
| 96372 |
|
4,258 |
3,216 |
$64K |
| 94640 |
|
1,364 |
907 |
$60K |
| 87502 |
|
424 |
378 |
$59K |
| 87631 |
|
336 |
300 |
$59K |
| 87040 |
|
1,107 |
697 |
$58K |
| 99213 |
|
6,441 |
3,565 |
$57K |
| 97110 |
|
1,134 |
358 |
$55K |
| 87651 |
|
806 |
723 |
$55K |
| 83690 |
|
2,938 |
2,429 |
$50K |
| 83880 |
|
1,211 |
942 |
$50K |
| 80305 |
|
923 |
804 |
$50K |
| J7120 |
Ringers lactate infusion |
848 |
544 |
$49K |
| 96376 |
|
1,044 |
560 |
$48K |
| 87880 |
|
1,907 |
1,711 |
$46K |
| J1885 |
Ketorolac tromethamine inj |
2,627 |
2,184 |
$43K |
| 71250 |
|
243 |
222 |
$42K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,937 |
1,695 |
$40K |
| 85610 |
|
2,826 |
2,306 |
$40K |
| J2405 |
Ondansetron hcl injection |
3,165 |
2,451 |
$40K |
| 99214 |
|
6,482 |
3,077 |
$40K |
| 82803 |
|
1,018 |
760 |
$39K |
| 0241U |
|
297 |
273 |
$38K |
| 82550 |
|
2,064 |
1,633 |
$36K |
| 87081 |
|
1,251 |
1,136 |
$33K |
| 72125 |
|
136 |
124 |
$32K |
| 77067 |
|
372 |
351 |
$31K |
| G0480 |
Drug test def 1-7 classes |
629 |
520 |
$31K |
| 96366 |
|
194 |
107 |
$30K |
| 97602 |
|
322 |
134 |
$30K |
| 29581 |
|
788 |
143 |
$28K |
| 85730 |
|
1,260 |
1,112 |
$27K |
| 84439 |
|
1,123 |
1,052 |
$22K |
| 85379 |
|
968 |
831 |
$22K |
| 96127 |
|
368 |
340 |
$21K |
| 77063 |
|
372 |
351 |
$20K |
| 85027 |
|
1,336 |
1,112 |
$20K |
| G0463 |
Hospital outpt clinic visit |
731 |
481 |
$19K |
| 81025 |
|
716 |
624 |
$17K |
| 94060 |
|
126 |
96 |
$17K |
| 90834 |
|
188 |
146 |
$17K |
| 82248 |
|
2,016 |
1,814 |
$17K |
| 82607 |
|
527 |
495 |
$17K |
| 87077 |
|
1,016 |
918 |
$17K |
| G0378 |
Hospital observation per hr |
179 |
79 |
$17K |
| 82330 |
|
800 |
608 |
$15K |
| 87186 |
|
737 |
669 |
$15K |
| J1100 |
Dexamethasone sodium phos |
1,373 |
1,157 |
$15K |
| 99212 |
|
417 |
166 |
$15K |
| 85007 |
|
571 |
449 |
$15K |
| 82150 |
|
364 |
283 |
$15K |
| 87804 |
|
326 |
292 |
$15K |
| 80307 |
|
132 |
118 |
$14K |
| 36600 |
|
741 |
571 |
$14K |
| 90837 |
|
106 |
77 |
$13K |
| J0696 |
Ceftriaxone sodium injection |
1,471 |
1,002 |
$13K |
| 73030 |
|
236 |
199 |
$12K |
| 97035 |
|
259 |
90 |
$12K |
| 88305 |
|
145 |
124 |
$11K |
| 72110 |
|
122 |
118 |
$11K |
| 94760 |
|
481 |
226 |
$11K |
| 80050 |
|
85 |
84 |
$10K |
| 96360 |
|
97 |
92 |
$10K |
| 73562 |
|
206 |
160 |
$10K |
| 90833 |
|
156 |
140 |
$10K |
| 73630 |
|
192 |
175 |
$9K |
| 73610 |
|
164 |
144 |
$9K |
| 71275 |
|
48 |
39 |
$8K |
| 82805 |
|
317 |
237 |
$8K |
| 84100 |
|
164 |
147 |
$7K |
| 72148 |
|
12 |
12 |
$6K |
| 99203 |
|
525 |
372 |
$6K |
| 97014 |
|
143 |
62 |
$5K |
| J2001 |
Lidocaine injection |
205 |
155 |
$5K |
| C9803 |
Hopd covid-19 spec collect |
559 |
449 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
35 |
25 |
$5K |
| 82947 |
|
407 |
340 |
$5K |
| 85651 |
|
398 |
348 |
$4K |
| 84481 |
|
71 |
66 |
$4K |
| 97140 |
|
85 |
27 |
$4K |
| 94729 |
|
154 |
109 |
$4K |
| 88142 |
|
182 |
170 |
$4K |
| 99281 |
|
177 |
162 |
$4K |
| 84466 |
|
126 |
118 |
$4K |
| 97162 |
|
40 |
39 |
$4K |
| U0003 |
Cov-19 amp prb hgh thruput |
44 |
39 |
$3K |
| 87636 |
|
74 |
68 |
$3K |
| 94727 |
|
37 |
25 |
$3K |
| 73130 |
|
57 |
49 |
$3K |
| 76705 |
|
14 |
12 |
$3K |
| 94726 |
|
61 |
40 |
$3K |
| 81002 |
|
496 |
464 |
$3K |
| 90792 |
|
18 |
17 |
$2K |
| 73564 |
|
30 |
26 |
$2K |
| J3490 |
Drugs unclassified injection |
1,271 |
661 |
$2K |
| 99204 |
|
300 |
184 |
$2K |
| 84520 |
|
163 |
129 |
$2K |
| 83540 |
|
155 |
142 |
$2K |
| 20610 |
|
54 |
27 |
$2K |
| 74018 |
|
28 |
28 |
$2K |
| 76536 |
|
15 |
14 |
$2K |
| 87624 |
|
53 |
51 |
$2K |
| 11721 |
|
122 |
68 |
$2K |
| 93010 |
|
442 |
371 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
188 |
156 |
$2K |
| 90791 |
|
16 |
15 |
$2K |
| J2270 |
Morphine sulfate injection |
73 |
43 |
$2K |
| 87807 |
|
21 |
21 |
$1K |
| J2550 |
Promethazine hcl injection |
15 |
13 |
$1K |
| 84132 |
|
187 |
143 |
$1K |
| J2930 |
Methylprednisolone injection |
148 |
124 |
$1K |
| J2765 |
Metoclopramide hcl injection |
102 |
82 |
$1K |
| 84295 |
|
170 |
131 |
$1K |
| 82435 |
|
170 |
131 |
$1K |
| 82565 |
|
35 |
29 |
$1K |
| 87147 |
|
32 |
29 |
$1K |
| 74019 |
|
19 |
12 |
$1K |
| 86140 |
|
153 |
117 |
$983.43 |
| 82570 |
|
108 |
104 |
$969.02 |
| 84145 |
|
153 |
100 |
$934.74 |
| 90471 |
|
33 |
31 |
$899.37 |
| 96367 |
|
18 |
13 |
$887.72 |
| 99211 |
|
287 |
225 |
$871.96 |
| J0690 |
Cefazolin sodium injection |
52 |
24 |
$861.04 |
| 87635 |
|
19 |
12 |
$829.59 |
| 82728 |
|
24 |
24 |
$696.25 |
| 84460 |
|
14 |
13 |
$668.94 |
| 84450 |
|
14 |
13 |
$668.94 |
| J1200 |
Diphenhydramine hcl injectio |
73 |
59 |
$634.24 |
| 80051 |
|
16 |
15 |
$623.65 |
| 82043 |
|
40 |
39 |
$498.66 |
| J2360 |
Orphenadrine injection |
91 |
83 |
$454.93 |
| 84703 |
|
30 |
28 |
$444.86 |
| G0475 |
Hiv combination assay |
14 |
13 |
$426.38 |
| 84436 |
|
12 |
12 |
$360.57 |
| 80179 |
|
12 |
12 |
$342.09 |
| J1650 |
Inj enoxaparin sodium |
63 |
38 |
$318.74 |
| 86850 |
|
27 |
24 |
$318.06 |
| 86803 |
|
13 |
12 |
$303.48 |
| J2920 |
Methylprednisolone injection |
49 |
38 |
$284.58 |
| J0131 |
Inj, acetaminophen (nos) |
36 |
28 |
$247.20 |
| 87205 |
|
15 |
13 |
$181.84 |
| 86900 |
|
13 |
12 |
$134.30 |
| 85018 |
|
13 |
13 |
$133.82 |
| J2060 |
Lorazepam injection |
44 |
36 |
$131.61 |
| 86901 |
|
13 |
12 |
$105.70 |
| J3010 |
Fentanyl citrate injection |
108 |
88 |
$48.61 |
| J7060 |
5% dextrose/water |
53 |
39 |
$45.72 |
| J1030 |
Methylprednisolone 40 mg inj |
16 |
15 |
$44.19 |
| J2919 |
Inj, methylpred sod succ 5mg |
45 |
40 |
$37.86 |
| Q0162 |
Ondansetron oral |
76 |
70 |
$14.82 |
| G1010 |
Cdsm stanson |
27 |
25 |
$0.00 |